Summary of the invention:
The objective of the invention is to: a kind of Chinese medicine preparation for the treatment of peptic ulcer and preparation method thereof is provided.The present invention by modern galenic pharmacy research, has set forth the mechanism of action that preparation of the present invention is used for the treatment of peptic ulcer fully, and under the prerequisite that guarantees curative effect of medication, has reduced patient's taking dose to greatest extent in conjunction with modern pharmacology drug efficacy study principle.
The present invention constitutes like this: a kind of Chinese medicine preparation for the treatment of peptic ulcer, according to listed as parts by weight, it is that the base stock medicine is made for 1~10 part with 1~10 part of the Radix Paeoniae Alba, 1~20 part of the Rhizoma Atractylodis Macrocephalae, 1~20 part of Rhizoma Atractylodis and Fructus Evodiae.
Preferred scheme is: according to listed as parts by weight, it is that the base stock medicine is made for 5 parts with 5 parts of the Radix Paeoniae Albas, 10 parts of the Rhizoma Atractylodis Macrocephalaes, 10 parts of Rhizoma Atractylodis and Fructus Evodiae.
In order further to strengthen drug effect, according to listed as parts by weight, crude drug can also comprise 15~20 parts of 1~10 part of Endothelium Corneum Gigeriae Galli, 1~20 part of Rhizoma Corydalis, 1~20 part of Cortex Cinnamomi and the Radix Aucklandiae.
According to listed as parts by weight, best crude drug is combined as: 18 parts of 5 parts of the Radix Paeoniae Albas, 10 parts of the Rhizoma Atractylodis Macrocephalaes, 10 parts of Rhizoma Atractylodis, 5 parts of Fructus Evodiaes, 5 parts of Endothelium Corneum Gigeriae Galli, 10 parts of Rhizoma Corydalis, 10 parts of Cortex Cinnamomis and the Radix Aucklandiae.
Described Chinese medicine preparation is oral formulations or sublingual administration preparation, as tablet, hard capsule, granule, soft capsule, drop pill, syrup or sublingual lozenge.
One of preparation method of the Chinese medicine preparation of treatment peptic ulcer of the present invention: weighting raw materials material in proportion, microwave drying, pulverize separately are crossed 100 mesh sieves, and mix homogeneously is made various preparation, promptly then.
Two of the preparation method of the Chinese medicine preparation of treatment peptic ulcer: weighting raw materials material in proportion, mix, add 6~10 times of water gagings, decoct 2~4 times, each 1~3 hour, collecting decoction, filter, it is 1.20 clear paste that filtrate decompression is concentrated into 50 ℃ of relative densities, and drying under reduced pressure is pulverized, cross 100 mesh sieves, get extract powder, make various preparation then, promptly.
Three of the preparation method of the Chinese medicine preparation of treatment peptic ulcer: weighting raw materials material in proportion, mix, with 6~10 times of amount 50% or 80% alcohol reflux 1~3 time, each 1~3 hour, filter, be evaporated to 60 ℃ of relative densities and be 1.35 thick paste, dry below 80 ℃, pulverized 100 mesh sieves, get extract powder, make various preparation then, promptly.
Chinese medicine of the present invention is with refining the forming of eight flavor natural Chinese medicinal herb prescriptions, and Fructus Evodiae is hot in nature in the side, outside the warm spleen of decapacitation warming the liver, also is better than dispersing cold for relieving pain, and the Radix Paeoniae Alba is cold in nature, is good at nourishing blood and seeking, and two medicines are monarch drug altogether, common harmonizing yingfen and weifen; Be aided with Rhizoma Atractylodis, the Rhizoma Atractylodis Macrocephalae, the Radix Aucklandiae, the pain relieving of Endothelium Corneum Gigeriae Galli strengthening the spleen to promote digestion, assistant is with Rhizoma Corydalis, Cortex Cinnamomi promoting the circulation of QI to relieve pain, and all medicines are shared, then reach invigorating the spleen and regulating the stomach, the effect of promoting the circulation of QI to relieve pain; Being mainly used in treatment stomach, duodenal ulcer and gastritis, stomachache, abdominal distention is stomach, the intestinal diseases of cardinal symptom, has good effect.
In order to verify the therapeutic effect of Chinese medicine preparation of the present invention, the applicant has carried out corresponding experimental study, studies show that, bring out gastric ulcer model mouse stomach administration preparation of the present invention for pylorus ligation, acetic acid ulcer rat model and reserpine after, have tangible anti-experimental character ulcer function.The main contents of test are as follows:
1. the pharmacodynamic study of anti-peptic ulcer
1.1 medicine and reagent preparation of the present invention is the homemade powder of applicant, Chinese medicines such as the Radix Paeoniae Alba, Rhizoma Atractylodis, Rhizoma Corydalis, Cortex Cinnamomi are commercially available, mainly purchase in area, the southeast of Guizhou Province, Guizhou Province, the blank group is a distilled water, cimetidine (Dongtai city pharmaceutical factory, lot number 990513,0.2g/2ml), reserpine (red flag pharmaceutical factory of Shanghai Medical Univ, lot number 960802,1mg/1ml).
1.2 animal Wastar rat, body weight 175~250g, Kunming mouse, body weight 18.5~23g; The male and female dual-purpose is provided by Zunyi Medical College's Experimental Animal Center.
1.3 method
1.3.1 preparation 1. of the present invention is to the effect of rat experiment gastric ulcer: 40 of rats are divided into 5 groups (seeing Table 1) at random.Experimental technique: continuous gastric infusion 5d, fasting 48h after the administration in the 3rd day freely drinks water, and cuts open the belly the ligation pylorus under the etherization.Postoperative is gastric infusion (dosage sees Table 1) immediately, and postoperative 18h puts to death animal and gets stomach.10% formaldehyde fixed is cut off stomach along greater gastric curvature, and reference literature is estimated the influence of medicine to ulcer with ulcer index and suppression ratio.2. reserpine is brought out the influence of mouse gastric ulcer: 40 of mices, random packet, fasting 48h before the administration, press gastric infusion 20ml/kg of table 2, subcutaneous injection of reserpine 10mg/kg behind the medicine puts to death mice and gets stomach, formaldehyde fixed behind the 6h, 30min tailing edge greater gastric curvature is cut off stomach, observes the ulcer index on the gastric mucosa.3. to the influence of rat gastric ulcer due to the acetic acid: 40 of rats, grouping and the same 1. item of dosage, rat is under etherization cut open the belly, inject 0.1ml acetic acid through internal diameter 5mm glass tubing to the body of stomach serosal surface, be stained with acetic acid with cotton swab behind the 1min, sew up stomach wall, postoperative gastric infusion early 9 o'clock, late 5 o'clock the 2nd day every day 2 times, 10d continuously.Put to death rat on the 11st day and get stomach, formaldehyde fixed is calculated ulcer index.
1.3.2 preparation of the present invention is freely drunk water to the excretory rat fasting 48h that influences of rat gastric juice, surgical procedure with among the 1.3.1 1., 5h puts to death rat behind the pylorus ligation, collects gastric juice, the centrifugal 10min of 3000 commentariess on classics/min stays supernatant mensuration gastric juice amount.Getting gastric juice 1ml, with the phenol red indicator of doing, drip till the first meeting redness with the N/100 sodium hydroxide, both had been the total acid terminal point.Pepsic mensuration is filled Ovum Gallus domesticus album with reference to the special capillary tube method of wheat with glass capillary, places 85 ℃ of hot water to make protein coagulation, and paraffin sealing protein pipe two ends are standby in the storage refrigerator.Get gastric juice 1ml during test, put in the 50ml conical flask, add 0.05N hydrochloric acid 15ml, shake up, put two of protein pipe into, filled in bottleneck, 37 ℃ of calorstats are hatched 24h.Measure the length (mm) of two ends transparent part in the protein pipe, obtain the meansigma methods of four ends.Pepsin unit=meansigma methods
2* 16.
2. the experiment that the mice intestine movement function is influenced
2.1 medicine and reagent preparation of the present invention is the homemade powder of applicant, Chinese medicines such as the Radix Paeoniae Alba, Rhizoma Atractylodis, Rhizoma Corydalis, Cortex Cinnamomi are commercially available, purchase in area, the southeast of Guizhou Province, Guizhou Province.Preparation of the present invention is made 1.25%, 2.5% suspension with distilled water; Neostigmine methylsulfate is that sky, Shandong good fortune pharmaceutical factory produces (lot number 068331), and morphine hydrochloride is that Shenyang No.1 Pharmaceutical Factory, Dongbei Pharmaceutical Group Co. produces (lot number 002747), and the blank group is a normal saline.
2.2 the animal Kunming mouse, body weight 17~25g, the quality certification: 310101004, provide by Medical University Of Chongqing's Experimental Animal Center.
2.3 experimental technique is got 56 of mices, is divided into 7 groups at random, and 8 every group, first group: the neostigmine group; Second group: neostigmine adds preparation group of the present invention; The 3rd group: the morphine group; The 4th group: morphine adds preparation group of the present invention; The 5th group: preparation group of the present invention (1.25%); The 6th group: preparation group of the present invention (2.5%); The 7th group: normal saline blank group.Laboratory animal fasting 24 hours is freely drunk water, and irritates earlier stomach 2.50%0.1ml/10g preparation suspension of the present invention respectively for second, four, six group, irritates stomach 1.25%0.1ml/10g preparation suspension of the present invention for the 5th group, the 7th group of capacity normal saline such as filling stomach.After the administration 1 hour, first and second group is lumbar injection neostigmine 0.1mg/kg respectively, third and fourth group is lumbar injection morphine 10mg/kg respectively, make the suspension oral gavage of 0.11ml/10g after 20 minutes with 5% charcoal end and 10% arabic gum, irritate stomach and put to death with the cervical vertebra dislocation after 30 minutes, cut open the belly immediately.Digestive tube is intactly extracted from pylorus to rectum end, be not tiled in with not adding traction and measure total length on the glass plate, and the forward position at record charcoal end is to the distance of pylorus, calculate its with the percentage ratio of gastrointestinal tract total length promptly: intestinal propulsion rate=pylorus to charcoal end Front distance/pylorus to ileocecus apart from * 100%.
3. statistical procedures
Measurement data represents that with `x ± s two sample standard deviations relatively with the t check, carry out statistical procedures with Excel software.
4. result
4.1 preparation of the present invention is to the influence of ulcer index and ulcer inhibition rate
The ulcer index of three dosage groups of preparation of the present invention and model group relatively are 41.93%~61.84% to the pyloric ligation ulcers ulcer inhibition rate, and there were significant differences; The acetic acid ulcer inhibition rate is 29.31%~48.76%; To reserpine type ulcer model, preparation of the present invention does not have obvious inhibitory action (P〉0.05, table 1).
Table 1 preparation of the present invention is to the influence (n=8) of gastric ulcer model rat ulcer exponential sum ulcer inhibition rate
Compare * P<0.05, * * P<0.01 with model group.
The histopathologic examination of acetic acid ulcer shows: model group ulcer is obvious, and fibrous connective tissue is repaired not obvious, and cell infiltration is obvious; Three groups of ulcer of the high, medium and low dosage of preparation of the present invention all obviously alleviate, and especially high, middle dosage group ulcer area is suitable with the cimetidine group, and most ulcer shoal, and inflammatory cell is few, repair obviously.
4.2 preparation of the present invention is to the influence of gastric secretion and pepsin activity
Compare with model group, the middle and high dosage group of preparation of the present invention has obvious inhibitory action to free acid, and gastric juice amount, total acidity stomach function regulating protease activities are not had obvious influence, the results are shown in Table 2.
Table 2 preparation of the present invention is to the influence (n=8) of gastric secretion and pepsin activity
Compare * P<0.05, * * P<0.01 with model group.
4.3 preparation of the present invention causes that to neostigmine excitement of intestinal smooth muscle and morphine cause the influence that gastrointestinal motility suppresses
Preparation of the present invention causes that to neostigmine the intestine movement function that excitement of intestinal smooth muscle and morphine cause that gastrointestinal motility slows down has two-phase regulating action (seeing Table 3).
Table 3 preparation of the present invention causes the influence that excitement of intestinal smooth muscle and morphine cause gastrointestinal motility and suppress (n=8, x ± s) to neostigmine
Compare * P<0.05, * * P<0.01 with normal saline blank group; Compare ▲ P<0.05 with the neostigmine group; Compare with the morphine group, ◆ P<0.05.
5. conclusion
Preparation of the present invention is had the medicaments compound of effects such as immunomodulating, vasodilator, antiinflammatory, analgesia and forms by some, the applicant adopts the acute and chronic peptic ulcer model of three kinds of different onset mechanism, observe the influence of preparation of the present invention, and study its mechanism of action.Pyloric ligation ulcers ulcer (acute ulcer) is to make gastric juice in the gastric retention behind the pylorus ligation, cause gastric acid, pepsin to corrode due to the eupepsy enhancing, preparation of the present invention is to the inhibitory action of pyloric ligation ulcers ulcer and to the influence of gastric secretion, illustrate that the agent of erosion that weakens gastric acid is the mechanism of action of the anti-pylorus ligation ulcer of this medicine model, but this medicine does not have obvious influence to pepsin activity, and its mechanism of action and H2 receptor antagonist cimetidine are not quite similar.Acetic acid ulcer be acetic acid directly to the erosion of gastric tissue, the chronic ulcer that causes the local blood circulation obstacle to cause, factor such as synthetic, the cell regeneration of DNA is relevant in its repair process and intercellular substance and mucus amount, the cell.Experimental result shows that preparation of the present invention has the good curing effect to this model, illustrate that this medicine has the effect that promotes ulcer healing, and curative effect is suitable with cimetidine.
Gastrointestinal dysfunction is the general name of one group of gastrointestinal syndrome, and based on the gastrointestinal motility dysfunction, peptic ulcer is also often with the gastrointestinal motility dysfunction, mainly shows as stomachache, abdominal distention, early full belch, inappetence, feels sick, symptom such as vomiting.In the preparation of the present invention the Radix Paeoniae Alba overwrought spontaneous contraction has inhibitory action and analgesic activity to intestinal tube; Effective ingredient atractylol in the Rhizoma Atractylodis can promote gastrointestinal motility, and smooth muscle is also had the slight shrinkage effect; Rhizoma Corydalis has pair medmain to cause the effect of contraction to the colon that exsomatizes; Cortex Cinnamomi has significant analgesia role.This experiment is judged the influence of preparation of the present invention to the mouse small intestine motor function by the intestinal propulsion rate, and after the result showed that mouse stomach gives preparation of the present invention (1.25% and 2.5%), with normal saline blank group ratio, small intestinal peristalsis did not have significant change.In the experiment behind the mice lumbar injection neostigmine, because it intends the excitement that the choline effect causes the intestinal smooth muscle, the normal matched group of intestinal propulsion rate increase of mice is obviously improved, this hyperfunction enterokinesia of preparation energy antagonism of the present invention, make it multiple normal, neostigmine adds preparation group of the present invention and compares there was no significant difference with normal normal saline matched group, with neostigmine group comparing difference significance.Morphine can make the downward propulsive wriggle weakness of gastrointestinal smooth muscle by improving the gastrointestinal sphincter tone, and intestinal contents is in the gastrointestinal movement slows down.In the experiment after the mice lumbar injection morphine, the normal normal saline matched group of intestinal propulsion rate obviously slows down, and preparation of the present invention also can this enterokinesia of slowing down of antagonism, and morphine adds preparation group of the present invention and morphine group comparing difference significance.By this experiment confirm, preparation of the present invention does not have remarkable influence to normal intestine movement function, and the intestine movement function that effect causes excitement of intestinal smooth muscle and morphine to cause that gastrointestinal motility slows down to neostigmine plan choline has the two-phase regulating action, can make unusual bowel movement become multiple normal.The gastrointestinal dysfunction of these effect characteristics when alleviating peptic ulcer has positive effect.
Compared with prior art, Chinese medicine preparation provided by the present invention has invigorating the spleen and regulating the stomach, and the effect of promoting the circulation of QI to relieve pain is that stomach, the intestinal diseases of cardinal symptom has excellent curative to gastric ulcer, duodenal ulcer and gastritis, stomachache, abdominal distention; And under the prerequisite that guarantees curative effect of medication, reduced patient's taking dose to greatest extent.
The specific embodiment:
Embodiments of the invention 1: the preparation of tablet:
Take by weighing Radix Paeoniae Alba 5g, Rhizoma Atractylodis Macrocephalae 10g, Rhizoma Atractylodis 10g and Fructus Evodiae 5g, microwave drying, pulverize separately are crossed 100 mesh sieves, mix homogeneously, drying for standby; Get 100~3000 milligrams of mixed powders, 0.1~0.40 milligram of magnesium stearate, 4~12 milligrams of carboxymethyl starch sodium, 50~100 milligrams of microcrystalline Cellulose; Mixed powder is mixed with carboxymethyl starch sodium, microcrystalline Cellulose, sieve, make its mixing, add suitable quantity of water or alcohol granulation again, after the drying, granulate adds magnesium stearate, with decompressor with the granule compacting in flakes, promptly gets tablet then.Said preparation is oral, and each 3, every day 3 times.
Embodiments of the invention 2: the preparation of hard capsule:
Take by weighing Radix Paeoniae Alba 10g, Rhizoma Atractylodis Macrocephalae 10g, Rhizoma Atractylodis 10g and Fructus Evodiae 10g, mix, add 8 times of water gagings, decoct 3 times, 3 hours for the first time, 2 hours for the second time, 1 hour for the third time, collecting decoction filtered, filtrate decompression concentrate (0.06~-0.08Mpa, 80 ℃) to relative density be the clear paste of 1.20 (50 ℃), drying under reduced pressure (0.08Mpa, 70~80 ℃), pulverize, cross 100 mesh sieves, get extract powder; Get 100~3000 milligrams of extract powders, 0.1~0.30 milligram of magnesium stearate, 4~12 milligrams of carboxymethyl starch sodium, 50~100 milligrams of starch; With extract powder and carboxymethyl starch sodium, starch mix homogeneously, add an amount of alcohol granulation again, drying, granulate adds magnesium stearate, in the gelatine capsule of packing into then, promptly gets hard capsule.Said preparation is oral, and each 3, every day 3 times.
Embodiments of the invention 3: the preparation of granule:
Take by weighing Radix Paeoniae Alba 10g, Rhizoma Atractylodis Macrocephalae 1g, Rhizoma Atractylodis 1g and Fructus Evodiae 10g, mix, measure 50% alcohol reflux 3 times with 8 times, each 2 hours, filter concentrating under reduced pressure (vacuum 0.06~0.08Mpa, 80 ℃ of temperature) to relative density be the thick paste of 1.35 (60 ℃), dry below 80 ℃, pulverized 100 mesh sieves, get extract powder; It is an amount of to get extract powder 1~10 gram, dextrin or sucrose 1~10 gram, correctives (as essence) and sweeting agent (as Aspartane); With extract powder and sucrose/dextrin, correctives and sweeting agent mix homogeneously, add suitable quantity of water or ethanol and make soft material, the granulation of sieving, drying, granulate, packing promptly gets granule.Said preparation is oral, each 5 grams, every day 3 times.
Embodiments of the invention 4: preparation of soft capsule:
Take by weighing Radix Paeoniae Alba 5g, Rhizoma Atractylodis Macrocephalae 10g, Rhizoma Atractylodis 10g, Fructus Evodiae 5g, Endothelium Corneum Gigeriae Galli 5g, Rhizoma Corydalis 10g, Cortex Cinnamomi 10g and Radix Aucklandiae 18g, mix, measure 80% alcohol reflux 2 times with 8 times, each 2 hours, filter concentrating under reduced pressure (vacuum 0.06~0.08Mpa, 80 ℃ of temperature) to relative density be the thick paste of 1.35 (60 ℃), dry below 80 ℃, pulverized 100 mesh sieves, get extract powder; It is an amount of to get 100~2000 milligrams of extract powders, poly-ethanol or 100~2000 milligrams in Oleum Glycines, 3~10 milligrams of suspending agents (as tween 80), 3~10 milligrams of emulsifying agents (as propylene glycol) and 50~100 milligrams in gelatin, 10~30 milligrams of glycerol, 50~100 milligrams of purified water and antiseptic (as sodium benzoate); Gelatin is placed glue pot, add purified water, 70 ℃ of following heating make dissolving, add glycerol and antiseptic again, stir, and insulation is left standstill after the vacuum removal of air bubbles; In proportion with extract powder and poly-ethanol/Oleum Glycines, emulsifying agent, suspending agent mix homogeneously, again and the gelatin for preparing place rotation to press the capsule machine to be pressed into soft capsule, typing, drying promptly gets soft capsule.Said preparation is oral, and each 3, every day 3 times.
Embodiments of the invention 5: the preparation of drop pill:
Take by weighing Radix Paeoniae Alba 1g, Rhizoma Atractylodis Macrocephalae 1g, Rhizoma Atractylodis 1g, Fructus Evodiae 1g, Endothelium Corneum Gigeriae Galli 1g, Rhizoma Corydalis 1g, Cortex Cinnamomi 1g and Radix Aucklandiae 15g, mix, add 10 times of water gagings, decoct 2 times, each 2 hours, collecting decoction filters, and filtrate decompression is concentrated into the clear paste that relative density is 1.20 (50 ℃), drying under reduced pressure, pulverize, cross 100 mesh sieves, get extract powder; It is an amount of to get 1~10 milligram of extract powder, 20~40 milligrams of Macrogol 4000s, methyl-silicone oil; Extract powder is added water make even pasty state, add substrate (Macrogol 4000) liquid that dissolves again, heating and melting becomes supernatant liquid, pour in the drop pill device of preheating, system temperature and speed are dripped in control, splash in the methyl-silicone oil condensed fluid, blot condensed fluid after becoming ball, collect drop pill, place in the exsiccator, promptly get drop pill.Said preparation is oral, each 0.2 gram, every day 3 times.
Embodiments of the invention 6: the preparation of syrup:
Take by weighing Radix Paeoniae Alba 10g, Rhizoma Atractylodis Macrocephalae 1g, Rhizoma Atractylodis 20g, Fructus Evodiae 1g, Endothelium Corneum Gigeriae Galli 10g, Rhizoma Corydalis 1g, Cortex Cinnamomi 20g and Radix Aucklandiae 15g, mix, measure 50% alcohol reflux 3 times with 6 times, each 1 hour, filter concentrating under reduced pressure (vacuum 0.06~0.08Mpa, 80 ℃ of temperature) to relative density be the thick paste of 1.35 (60 ℃), dry below 80 ℃, pulverized 100 mesh sieves, get extract powder; Get extract powder 1~20 gram, sodium carboxymethyl cellulose 1.5 grams, saccharin sodium 0.1 gram, correctives (as essence) is an amount of, antiseptic (as sodium benzoate) is an amount of and 100 milliliters of purified water; Sodium carboxymethyl cellulose is dispersed in the hot water, and cooling mixes with the aqueous suspension that contains extract powder, saccharin sodium, correctives and antiseptic then, becomes volume required preparing solution and mix homogeneously, and sterilization back packing promptly gets syrup.Said preparation is oral, each 20ml, every day 3 times.
Embodiments of the invention 7: the preparation of sublingual lozenge:
Take by weighing Radix Paeoniae Alba 1g, Rhizoma Atractylodis Macrocephalae 20g, Rhizoma Atractylodis 1g, Fructus Evodiae 10g, Endothelium Corneum Gigeriae Galli 1g, Rhizoma Corydalis 20g, Cortex Cinnamomi 1g and Radix Aucklandiae 20g, mix, measured 80% alcohol reflux 3 hours with 10 times, filter, being evaporated to relative density is the thick paste of 1.35 (60 ℃), dry below 80 ℃, pulverized 100 mesh sieves, get extract powder; Get 10~400 milligrams of extract powders, can press 40~80 milligrams of sucrose, 0.1~0.3 milligram of magnesium stearate; With extract powder sieve the back with can press sucrose, magnesium stearate mix homogeneously, and use the decompressor tabletting, promptly get sublingual lozenge.The said preparation buccal, each 1, every day 3~5 times.